Vertigo during pregnancy: a review
DOI:
https://doi.org/10.18203/issn.2454-5929.ijohns20221891Keywords:
Vertigo, Pregnancy, Benign paroxysmal positional vertigo, Meniere’s diseaseAbstract
Vertigo is defined as a false sensation of movements where a patient gets a rotating perception of the environment or oneself. Vertigo and dizziness are commonly experienced during the pregnancy period and are among the most common complaint by pregnant women to the primary care physicians. Vertigo during pregnancy affects the quality of life of women and also has an impact on the fetus. Pregnancy is an important nine-month physiological period of female life. During pregnancy, the body of the female undergoes several physiological changes that affect all systems and organs, including sensory ones. There are significant changes during pregnancy including otological and neurotological manifestations. Vertigo/dizziness is a common complaint during pregnancy to the clinicians. Benign paroxysmal positional vertigo (BPPV), Meniere’s disease (MD), vestibular neuritis and vestibular migraine are common vestibular disorders result in vertigo during pregnancy. Vertigo during pregnancy directly affects the pregnant mother both mentally and physically. A multidisciplinary approach by otolaryngologists, neurologists, and gynaecologist and obstetricians is required for proper evaluation and management of vertigo in pregnant women. Currently, there are no guidelines for the management of vertigo in pregnancy. Little has been reported about vertigo during pregnancy. We performed a narrative review of vertigo in pregnant women.
References
Swain SK, Pattnaik T, Mohanty JN. Otological and rhinological manifestations in pregnancy: Our experiences at a tertiary care teaching hospital of East India. International J Health Allied Sci. 2020;9(2):159-63.
Rodríguez PAF, Roche M, Larrañaga C. Medical disorders and pregnancy. Gastrointestinal, neurological, cardiovascular and dermatological disorders. An Sist Sanit Navar. 2009;32(1):135-57.
Sherlie SV, Varghese A. ENT changes of pregnancy and its management. Indian J Otolaryngol Head Neck Surg. 2014;66:6-9.
Neuhauser HK, Lempert T. Vertigo: epidemiologic aspects. Semin Neurol. 2009;29:473-81.
Swain SK, Pati BK, Mohanty JN. Otological manifestations in pregnant women - a study at a tertiary care hospital of eastern India. J Otol. 2020;15:103-6.
Castillo-Bustamante M, Chua DCC, Vázquez M, Dotel BL, Recalde BM. Hormonas sexuales yalteraciones neurotológicas en Mujeres. Rev Fac Cien Med Univ Nac Cordoba. 2020;77:351-5.
Pérez P, Franco V, Cuesta P, Aldama P, Alvarez MJ, Méndez JC. Recurrence of benign paroxysmal positional vertigo. Otol Neurotol. 2012;33(3):437-43.
Kumar R, Hayhurst KL, Robson AK. Ear, nose, and throat manifestations during pregnancy. Otolaryngol Head Neck Surg. 2011;145(2):188-98.
Uchide K, Suzuki N, Takiguchi T, Terada S, Inoue M. The possible effect of pregnancy on Meniere’s disease. ORL. 1997;59(5):292-5.
Swain SK. Hearing loss and vertigo among COVID-19 patients: A review. Int J Res Med Sci. 2021;9:2863-8.
Balatsouras DG, Koukoutsis G, Fassolis A, Moukos A, Apris A. Benign paroxysmal positional vertigo in the elderly:current insights. Clinical Interventions Aging. 2018;13:2251-66.
Talaat HS, Abuhadied G, Talaat AS, Abdelaal MS. Low bone mineral den¬sity and vitamin D deficiency in patients with benign positional paroxysmal vertigo. Eur Arch Otorhinolaryngol. 2015;272:2249-53.
Stenberg AE, Wang H, Sahlin L, Stierna P, Enmark E, Hultcrantz M. Estrogen receptors alpha and beta in the inner ear of the 'Turner mouse' and an estrogen receptor beta knockout mouse. Hear Res. 2002;166:1-8.
Pettersson K, Gustafsson JA. Role of estrogen receptor beta in estrogen action. Annu Rev Physiol. 2001;63:165-92.
Giacomini PG, Napolitano B, Alessandrini M, Girolamo DS, Magrini A. Recurrent paroxysmal positional vertigo related to oral contraceptive treatment. Gynecol Endocrinol. 2006;22:5-8.
Chen J, Nathans J. Estrogen-related receptor beta/NR3B2 controls epithelial cell fate and endolymph production by the stria vascularis. Dev Cell. 2007;13:325-37.
Swain S, Behera IC, Rajvanshi P. Vertigo in children-A review. Indian J Child Health. 2022;9(5):68-73.
Jeong SH, Kim JS, Shin JW, Kim S, Lee H, Lee AY, et al. Decreased serum vitamin D in idiopathic benign paroxysmal positional vertigo. J Neurol. 2013;260(3):832-8.
Swain SK, Achary S, Das SR. Vertigo in pediatric age: Often challenge to clinicians. Int J Cur Res Rev. 2020;12(18):136-41.
Aydin E, Akman K, Yerli H, Ozluoglu LN. Benign paroxysmal positional vertigo after radiologic scanning: a case series. J Med Case Reports. 2008;2(1):1-3.
Swain SK. Age related hearing loss and cognitive impairment - A current perspective. Int J Res Med Sci. 2021;9(1):317-21.
Swain SK, Pattnaik T, Acharya S. Laryngeal manifestations in pregnancy: Our experiences at a tertiary care teaching hospital of eastern India. Annals Indian Academy Otorhinolaryngol Head Neck Surg. 2020;4(2):30-4.
Uchide K, Suzuki N, Takiguchi T, Terada S, Inoue M. The possible effect of pregnancy on Ménière's disease. ORL J Otorhinolaryngol Relat Spec. 1997;59:292-5.
Swain SK, Pattnaik T. Otorhinolaryngological manifestations in pregnant women. Med J Dr. DY Patil Vidyapeeth. 2021;14(4):374-9.
Escamez JA, Carey J, Chung WH, Goebel JA, Magnusson M, Mandala M. Diagnostic criteria for Menière's disease. Consensus document of the Bárány Society, The Japan Society for Equilibrium Research, the European Academy of Otology and Neurotology (EAONO), the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) and the Korean Balance Society. Acta Otorrinolaringol Esp. 2016;67:1-7.
Brown CM, Ahmad ZK, Ryan AF, Doherty JK. Estrogen receptor expression in sporadic vestibular schwannomas. Otol Neurotol. 2011;32(1):158-62.
Lempert T, Neuhauser H. Epidemiology of vertigo, migraine and vestibular migraine. J Neurol. 2009;256:333-8.
Swain SK, Mohanty S, Sahu MC. Migraine-related vertigo in an elderly male. Apollo Medicine. 2018;15(2):112.
Swain SK, Behera IC, Sahoo L. Vestibular migraine: Our experiences at a tertiary care teaching hospital of Eastern India. Med J Dr. DY Patil Vidyapeeth. 2020;13(6):636-41.
Swain SK, Sahoo L, Sarangi R. Vertigo during childhood: A disabling clinical entity. Int J Health Allied Sci. 2021;10(1):5-10.
Walters KF, Rosowski JJ, Sauter, Lee DJ. Superior semicircular dehiscence presenting as postpartum vertigo. Oto Neurootol. 2006 ;27(6):756-68.
Swain SK. Vertigo following cochlear implantation: A review. Int J Res Med Sci. 2022;10(2):572-7.
Swain SK, Pati BK, Mohanty JN. Otological manifestations in pregnant women - A study at a tertiary care hospital of eastern India. J Otology. 2020;15(3):103-6.
Hawke LJ, Barr CJ, McLoughlin JV. The frequency and impact of undiagnosed benign paroxysmal positional vertigo in outpatients with high falls risk. Age and ageing. 2021;50(6):2025-30.
Feazadeh A, Carmeli E. Rehabilitation exercise for treatment of vestibular disorder: A case study. Scientific World. 2006;6:291-4.
Black FO. Maternal susceptibility to nausea and vomiting of pregnancy: is the vestibular system involved? Am J Obstet Gynecol. 2002;186(5):204-9.
Andrews JC, Ator GA, Honrubia V. The exacerbation of symptoms in Meniere’s disease during premenstrual period. Arch Otolaryngol Head Neck Surg. 1992;118(1):74-8.
Swain S, Behera IC, Sahu MC. Prevalence of Benign Paroxysmal Positional Vertigo: Our experiences at a tertiary care hospital of India. Egyptian J Ear Nose Throat Allied Sci. 2018;19(3):87-92.
Swain SK, Samal S, Sahu MC, Debta P. Biomarker for Evaluating Peripheral Vertigo-A Study at a Tertiary Care Teaching Hospital of Eastern India. Indian J Public Health Res Development. 2018;9(12):2352-56.
Swain SK, Anand N, Mishra S. Vertigo among elderly people: Current opinion. J Med Society. 2019;33(1):1-5.
Kumar R, Hayhurst KL, Robson AK. Ear, nose, and throat manifestations during pregnancy. Otolaryngol Head Neck Surg. 2011;145:188-98.
Xu M, Jiang Q, Tang H. Sudden sensorineural hearing loss during pregnancy: clinical characteristics, management and outcome. Acta Otolaryngol. 2019;139(1):38-41.
Kjaer D, Horvath-Puhó E, Christensen J, Vestergaard M, Czeizel AE, Sørensen HT, et al. Use of phenytoin, phenobarbital or diazepam during pregnancy and risk of congenital abnormalities: a case-time-control study. Pharmacoepidemiol Drug Saf. 2007;16:181-8.
Goudakos JK, Markou KD, Franco-Vidal V, Vital V, Tsaligopoulos M, Darrouzet V. Corticosteroids in the treatment of vestibular neuritis: a systematic review and meta-analysis. Otol Neurotol. 2010;31:183-9.
Swain SK. Pharmacotherapy for vertigo: a current perspective. Int J Otorhinolaryngol Head Neck Surg. 2020;6(7):1400-6.
Goldbrunner R, Weller M, Regis J, Lund-Johansen M, Stavrinou P, Reuss D, et al. EANO guideline on the diagnosis and treatment of vestibular schwannoma. Neuro-oncology. 2020;22(1):31-45.